Healthcare Provider Details

I. General information

NPI: 1538923172
Provider Name (Legal Business Name): GOD AROUND THE WORLD MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 CENTURY 21 BLVD
ORLANDO FL
32807-2309
US

IV. Provider business mailing address

PO BOX 5364
WINTER PARK FL
32793-5364
US

V. Phone/Fax

Practice location:
  • Phone: 407-683-8315
  • Fax:
Mailing address:
  • Phone: 407-683-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEY SHELTON
Title or Position: PASTOR
Credential: ORDAINED MINISTER
Phone: 407-683-8315